Provider Demographics
NPI:1518158609
Name:MORTER HEALTHCENTER P.C.
Entity Type:Organization
Organization Name:MORTER HEALTHCENTER P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:MORTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-872-9300
Mailing Address - Street 1:10439 COMMERCE DR
Mailing Address - Street 2:SUITE 140
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-7605
Mailing Address - Country:US
Mailing Address - Phone:317-872-9300
Mailing Address - Fax:317-872-9303
Practice Address - Street 1:10439 COMMERCE DR
Practice Address - Street 2:SUITE 140
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-7605
Practice Address - Country:US
Practice Address - Phone:317-872-9300
Practice Address - Fax:317-872-9303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN51000274A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN219740Medicare UPIN